Time for An Update - beere&purves · 2017. 2. 9. · PEO operations similarly to a TPA . 5 Employer...
Transcript of Time for An Update - beere&purves · 2017. 2. 9. · PEO operations similarly to a TPA . 5 Employer...
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Time for An Update with PATRICK KIM
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Workers’ Comp & PEOs 2
Employer & PEO Relationship
PEO Advantages
PEO Disadvantages
Competing Against PEOs
Transitioning Work Comp Out of a PEO
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Employer / PEO
Relationship
PEO Advantages PEO Disadvantages Competing
Against a PEO
Transitioning Work Comp Out of a PEO
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Employer / PEO Relationship 4
PEO is a co-employer and leases employees to the employer. Employer retains responsibility for new hires, terminations, and Benefit changes PEO operations similarly to a TPA
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Employer / PEO
Relationship
PEO Advantages
PEO Disadvantages Competing
Against a PEO
Transitioning Work Comp Out of a PEO
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PEO Advantages 6
Consolidation!
• One-stop-shop for L&H quoting and sales
• COBRA and ACA compliance and reporting
• Payroll, online enrollment, HR administration
• Workers’ Compensation
• General group administration
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PEO Advantages 7
Ease of Use
• Groups can focus on the business
• Don’t have to think about compliance laws and whatnot
• Not enough staff to perform administration services
• Basic servicing can be handled by the PEO
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PEO Advantages 8
Costs
• PEO uses combined size of all groups to obtain volume discounts
• Composite rates
• Groups with a high exmod can “hide” under the PEO’s exmod
• Reduce or remove the Work Comp premium down-payment; greater cash flexibility
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Employer / PEO
Relationship
PEO Advantages
PEO Disadvantages
Competing
Against a PEO
Transitioning Work Comp Out of a PEO
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PEO Disadvantages 10
Lack of Transparency
• Difficult to measure costs of products and services
• Lack of line-item charges; difficult to incorporate info into a general ledger
The PEO’s class code is assigned to the individual group
• Rate for the PEO may be higher than if group went direct
• Example: If PEO has a “sales” class code and a software company obtained Work Comp via the PEO, the software company would be classified under the “sales” class code
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PEO Disadvantages 11
Low claims dragged down by chronic claim groups
• Groups don’t get exmod discounts; in fact, they lose them
Soft market pricing doesn’t always reach the group
• Some PEOs still charge rates established when the group was initially written
• PEO has to recover discounts applied from the beginning
PEOs can “go under;” group’s benefits and services disappear instantly
• PEOs are NOT subject to the same level of financial solvency as traditional carriers
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PEO Disadvantages 12
Owning officers can not be excluded from Work Comp • Payroll of owning officers will be used in the premium calculation • Premium contribution of the owners is based on owner’s payroll UP TO the
officer maximum which is determined by the WCIRB
Delayed servicing • Extra layer of communication when there is a claim • PEO specialist might not be familiar with Work Comp or claims process
Soft market pricing doesn’t always reach the group • Some PEOs still charge rates established when the group was initially written
Work Comp carriers less inclined to write groups moving OFF a PEO
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Employer / PEO
Relationship
PEO Work Comp
Advantages
PEO Work Comp Disadvantages
Competing
Against a PEO
Transitioning Work Comp Out of a PEO
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Competing Against a PEO 14
Greater access to discounts • Group can get exmod discounts • Owning officers can be excluded from Work Comp coverage, further
reducing premiums
Group is independent of the behavior of others • Group’s aren’t dragged down by claims of other PEO members • Possible cost reduction due to favorable business classification
Improved servicing • Working direct minimizes layers of communication • Carrier agents know the ins and outs of their product and service
Transparency of Costs • Policy doc and invoice literally breaks down every single fee and charge
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Employer / PEO
Relationship
PEO Work Comp
Advantages
PEO Work Comp Disadvantages
Competing
Against a PEO
Transitioning Work Comp Out of a PEO
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Transitioning Out of a PEO 16
1 3 5
2 4 6
Termination Send ACORD 35, cancellation form, to PEO.
Supplemental App Complete the supplemental application.
Loss Runs Request 3-4 years of loss runs.
ACORD 130 Complete the ACORD 130 Work
Comp application.
Accept Quote Accept the terms of the new Work
Comp quote.
Compliance Comply with the audit of the new PEO.
Process
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Transitioning Out of a PEO 17
New carrier will ask for 3-4 years loss runs • Can take several business days or weeks
Group must requalify for exmod discount Low risk groups, e.g. clerical, can transition easily
Moderate risk groups will have additional underwriting • Safety audit required; several days or weeks to complete
• Supplemental application required
Timing is critical to avoid PEOs early cancellation fee
If written by new carrier, group will have a higher premium down payment
Challenges
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Post Enrollment Quick Tips Major 2017 Carrier Updates Legislative Review Partner Services New Resources
SUMMARY
Employer / PEO
Relationship
PEO Work Comp
Advantages
PEO Work Comp Disadvantages
Competing
Against a PEO
Transitioning Work Comp Out of a PEO
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Summary 19
EGON www.business.com
© 2050 Business PowerPoint Template. All Rights Reserved. 19
No consolidation
Work Comp Carrier
Transparency of fees and solvency not clear
Easy to leave
Favorable for startups and groups with limited staff
Group premiums are only affected by the group and the carrier
Consolidation of many services
Fees are itemized and solvency may be found online
Favorable for groups that prefer control over operations
Challenging to leave Groups’ premiums are affected by claims of PEO member groups
PEO
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B&P Workers’ Comp Services 20
All pre- and post- sale servicing
Proof documentation for accuracy Pre-populate applications
Pre-underwrite groups Assistance with claims processing
Classifications, ownership changes, and documentation consultation
Process
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Get Connected with BEERE&PURVES
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YouTube Watch recent webinars, online enrollment
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Post Enrollment Quick Tips Major 2017 Carrier Updates Legislative Review Partner Services New Resources
QUESTIONS?
Patrick Kim Workers’ Comp Specialists 925.296.5478 [email protected]
Employer / PEO
Relationship
PEO Work Comp
Advantages
PEO Work Comp Disadvantages
Competing
Against a PEO
Transitioning Work Comp Out of a PEO